National HealthCare Corporation (NHC) Stock Price & How to Invest
Last updated July 2026
Short answer
National HealthCare Corporation (NYSE American: NHC) is the oldest publicly traded senior care company in the United States, operating 80 skilled nursing facilities alongside assisted living, homecare and hospice across nine mostly southeastern states. Owning the shares means exposure to a slow-growing, Medicare- and Medicaid-funded services business that just spent $560 million buying the real estate it previously rented, after a year in which the stock roughly doubled.
NHC stock price
As of 2026-08-18, National HealthCare Corporation (NHC) last closed at $234.17, up 114.2% over the past year. Over the past 52 weeks it has traded between $109.33 and $234.17.
Prices are daily closing prices from Yahoo Finance and may be delayed. For the live quote, check your broker or National HealthCare Corporation's investor relations page. Walnut is informational, not investment advice.
What does National HealthCare Corporation (NHC) do?
National HealthCare Corporation runs senior health care under one roof: as of August 2026 its affiliates operate 80 skilled nursing facilities with 10,323 licensed beds, 26 assisted living communities with 1,413 units, nine independent living communities with 775 units, three behavioral health hospitals, 34 homecare agencies and 33 hospice agencies, spread across nine states and concentrated in the Southeast. The company reports in two segments, inpatient services and homecare and hospice, and adds smaller lines in pharmacy, rehabilitation therapy, captive insurance and management and accounting services sold to third-party post-acute operators. Founded in Murfreesboro, Tennessee and listed since the 1980s, NHC describes itself as the nation's oldest publicly traded senior care company, and it remains unusually small in share count at roughly 15.7 million shares outstanding.
The investment picture in 2026 turns on two transactions. On June 1, NHC bought five skilled nursing facilities with 639 beds from affiliate National Health Corporation for $50.5 million, and on July 1 it closed a much larger $560 million purchase of 32 skilled nursing facilities and three independent living communities from landlord National Health Investors, terminating the master lease that had governed those buildings. Funding came from a new $550 million credit agreement (a $475 million senior unsecured term loan plus a $75 million revolver), which converts a company that carried essentially no long-term debt at June 30 into a leveraged owner of its own real estate. Revenue reached roughly $1.56 billion on a trailing twelve-month basis, the quarterly dividend was raised to 67 cents, and the shares traded near $228 in mid-August 2026 against a 52-week range of about $107 to $233.
What's driving National HealthCare Corporation (NHC)?
1. Owning the buildings instead of renting them
The $560 million NHI purchase that closed July 1, 2026 moved 32 skilled nursing facilities and three independent living communities onto NHC's own balance sheet and ended the lease that covered them. Facility rent ran about $11.5 million per quarter before the deal, and a large slice of that expense is now replaced by interest on the term loan plus depreciation on the acquired property. Whether the swap is accretive depends on how the floating-rate borrowing cost compares with the rent it displaces.
2. Tuck-in acquisitions inside the existing footprint
The five-facility purchase from affiliate National Health Corporation added 639 skilled nursing beds in Tennessee and South Carolina for $50.5 million, states where NHC already operates. Those facilities contributed roughly $6.0 million of net operating revenue and $0.6 million of pre-tax income in their first month, and they were the main reason second-quarter revenue rose 8.8% year over year. Buying operations the company already managed carries less integration risk than entering a new region.
3. Demographics and a diversified payor mix
Post-acute and long-term care demand is tied to an aging population, and NHC spreads its funding across four sources rather than depending on one: Medicare at about 29% of second-quarter net patient revenue, Medicaid at 29%, managed care at 14% and private pay and other at 28%. Homecare and hospice, the faster-growing segment, rose roughly 7% year over year to about $41 million in the quarter. A quarter of revenue from private payers gives some insulation from government rate decisions.
4. Financial capacity built up before the deal
NHC entered the second half of 2026 with about $1.12 billion of stockholders' equity, a marketable equity securities portfolio carried at roughly $171 million against a cost basis near $30 million, and about $106 million of operating cash flow in the first half alone. Long-term debt stood at zero on June 30, which is what made a $475 million term loan feasible without an equity raise. Management also lifted the quarterly dividend to 67 cents per share, payable October 30, 2026.
What are the risks to National HealthCare Corporation (NHC)?
Roughly 29% of net patient revenue comes from Medicaid, and the 2025 federal reconciliation law tightens state provider-tax financing beginning in fiscal 2028, which could squeeze the state rates that fund those beds. Labor is the dominant cost line, with salaries, wages and benefits of about $242 million against $408 million of second-quarter revenue, so nursing wage inflation and agency staffing flow almost directly to margin. Federal minimum-staffing requirements for skilled nursing facilities have been contested in court and in Congress, and a reinstated mandate would raise costs materially. NHC is self-insured for patient-care liability through a wholly owned captive, carries about $121 million of accrued risk reserves, and discloses ordinary-course negligence and patient-care claims that can produce large settlements regardless of outcome; no securities class action is disclosed. Two structural points deserve attention: the company now carries floating-rate debt priced at Term SOFR plus 1.25% to 1.75% where it previously had almost none, and with only about 15.7 million shares outstanding and daily volume near 100,000 shares, the stock is thinly traded and has already roughly doubled off its 52-week low.
Is NHC a buy or a sell?
We give no verdict on National HealthCare Corporation. Both cases are real, which is why the question is contested at all, so here is the strongest version of each.
The case for buying. Owning the buildings instead of renting them. The $560 million NHI purchase that closed July 1, 2026 moved 32 skilled nursing facilities and three independent living communities onto NHC's own balance sheet and ended the lease that covered them.
The case against. Roughly 29% of net patient revenue comes from Medicaid, and the 2025 federal reconciliation law tightens state provider-tax financing beginning in fiscal 2028, which could squeeze the state rates that fund those beds.
Read the full bull and bear case on NHC, including what would have to change to break either one. Walnut is not an investment adviser.
How is National HealthCare Corporation (NHC) valued? (approximate, August 2026)
A simple financial snapshot. These are approximations and refresh quarterly; for current figures see National HealthCare Corporation's investor relations page or your broker.
- Revenue (TTM): ~$1.56B
- Q2 2026 revenue: ~$408M (+8.8% YoY)
- Q2 2026 diluted EPS: ~$2.54 GAAP, ~$1.74 adjusted
- Market cap: ~$3.57B (~$228 per share)
- P/E (TTM): ~25x
- Dividend: ~$0.67 quarterly (~1.2% yield)
Second-quarter GAAP results were flattered by items that do not repeat: an $18.3 million catch-up of management fees recognized when the affiliate acquisition closed, plus mark-to-market gains on the securities portfolio. Adjusted net income of about $27.6 million, up 7.2% year over year, is the cleaner read on operations, and the gap between $2.54 GAAP and $1.74 adjusted diluted EPS shows how much noise the equity portfolio introduces. Trailing multiples also predate the July 1 NHI closing, so they reflect a rent-paying, debt-free company rather than the property-owning, leveraged one that exists today.
Which ETFs hold National HealthCare Corporation (NHC)?
If you want NHC exposure as part of a larger bundle rather than directly, these ETFs hold it meaningfully. Weights are approximate and refresh quarterly.
| ETF | Name | % in NHC | Expense ratio | |
|---|---|---|---|---|
| SDVY | First Trust SMID Cap Rising Dividend Achievers ETF | 1.2% | 0.58% |
Who competes with National HealthCare Corporation (NHC)?
Publicly traded skilled nursing and senior living operators
The Ensign Group (ENSG) and PACS Group (PACS) run skilled nursing portfolios at larger scale and with more acquisition-driven growth, while Brookdale Senior Living (BKD) competes on the assisted and independent living side. All of them bid for the same facilities, the same nurses and the same referrals from hospitals, and their operating margins set the benchmark investors use to judge NHC's.
Home health and hospice providers
Addus HomeCare (ADUS), Enhabit (EHAB), Aveanna Healthcare (AVAH) and The Pennant Group (PNTG) compete directly with NHC's 34 homecare and 33 hospice agencies, as do UnitedHealth's Optum-owned home health assets. This is the segment growing fastest for NHC, and it is also where payors have been most aggressive about shifting care out of facilities and into the home.
Healthcare REITs that own the buildings
National Health Investors (NHI), Omega Healthcare Investors (OHI), CareTrust REIT (CTRE) and Sabra Health Care REIT (SBRA) own skilled nursing and senior housing real estate and lease it to operators. They are the alternative way to take exposure to the same demographic story, collecting rent instead of running the facilities, and NHI in particular was NHC's landlord until the July 2026 buyout.
What stocks are similar to National HealthCare Corporation (NHC)?
Other names that sit close to NHC: same theme, named as a direct competitor, or held beside it in the same funds. Each entry says which. Worth a look if you are thinking about diversification within a thesis rather than concentration on one ticker.
How to invest in National HealthCare Corporation (NHC)
There are three common ways to get NHC exposure. Buy shares (or fractional shares) directly at any major broker. Hold an ETF that includes it (SDVY), which spreads the position across many companies. Or build it into a focused thematic portfolio, so NHC sits alongside other stocks that express the same thesis.
Walnut takes the portfolio route. Describe a thesis where NHC fits (for example “AI infrastructure” or “dividend-growth large-caps”) and the AI proposes 5 to 6 constituents with target weights. You review the plan and fund it through your own broker when you're ready.
New to this? Start with how to invest in stocks, see how to analyze a stock with AI, or compare the best AI stock analyzers.
The bottom line on National HealthCare Corporation (NHC)
NHC combines a defensive, demographics-backed care business with a balance sheet that went from debt-free to carrying a $475 million term loan in a single quarter, at a price that already reflects a year of doubling.
More on National HealthCare Corporation (NHC)
Whether NHC is worth buying today depends more on your time horizon and what you already hold than on any single call. We walk through valuation, what would have to go right, and the risks in is NHC a buy or a sell?, and where the stock could go from here in the NHC stock forecast.
For income investors, whether NHC pays a dividend and how the payout looks is covered in does NHC pay a dividend? And to weigh NHC against a peer, read the full side-by-side comparisons: NHC vs ENSG and NHC vs BKD.
Wondering how NHC fits the portfolio you already own? Walnut is an AI investing app that connects your brokerage read-only and answers questions like that about your actual holdings: overlap, concentration, and how each position tracks the S&P 500. Compare the best AI portfolio analyzers or see the best AI investing apps in 2026.
Investing in National HealthCare Corporation with AI
Connect the broker you already use and ask Walnut's AI how NHC fits what you actually hold: whether you own it already through a fund, what it would do to your concentration, and how it has tracked the S&P 500. Read-only by default, and you approve anything before it reaches your broker.
FAQ
What does National HealthCare Corporation actually do?
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NHC operates or manages senior health care services: 80 skilled nursing facilities with 10,323 licensed beds, 26 assisted living communities, nine independent living communities, three behavioral health hospitals, 34 homecare agencies and 33 hospice agencies as of August 2026. It also runs pharmacy and rehabilitation therapy businesses, a captive insurance operation, and sells management and accounting services to third-party post-acute operators. Operations span nine states, concentrated in the Southeast.
What was the $560 million NHI transaction?
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On July 1, 2026, NHC purchased the land, facilities and improvements of 32 skilled nursing facilities and three independent living communities from National Health Investors for $560 million, and the master lease covering those properties terminated at closing. The buildings sit in Alabama, Florida, Kentucky, Missouri, South Carolina, Tennessee and Virginia. NHC continues to operate all of them except four Florida skilled nursing facilities, which remain under a third-party operator's lease.
How is NHC paying for it?
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A new $550 million credit agreement signed May 26, 2026 became effective on the closing date, consisting of a $475 million senior unsecured term loan and a $75 million revolving facility, both maturing five years after initial funding. Borrowings price at Term SOFR or a base rate plus a margin that varies with the leverage ratio, running 1.25% to 1.75% over Term SOFR initially. NHC had zero long-term debt on its June 30, 2026 balance sheet, so the borrowing represents a genuine change in financial profile.
Where does NHC's revenue come from?
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Second-quarter 2026 net patient revenue split roughly 29% Medicare, 29% Medicaid, 14% managed care and 28% private pay and other. By service type, inpatient services generated about $337 million and homecare and hospice about $41 million of the quarter's $378 million in net patient revenue, with another $30 million in other revenues from rent, management fees and insurance services. Trailing twelve-month net operating revenue is approximately $1.56 billion.
Why was second-quarter GAAP EPS so much higher than adjusted EPS?
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GAAP diluted EPS of $2.54 included $18.3 million of management fees earned before 2025 but only recognized when the affiliate acquisition closed on June 1, 2026, plus $0.9 million of unrealized gains on marketable equity securities. Stripping those out gives adjusted net income of about $27.6 million and adjusted diluted EPS of $1.74, against $1.65 a year earlier. Because NHC marks a roughly $171 million equity portfolio to market through the income statement, GAAP earnings swing with the stock market as well as with operations.
Does NHC pay a dividend?
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Yes. NHC declared a quarterly dividend of 67 cents per share on August 6, 2026, payable October 30, 2026 to shareholders of record on September 30. That works out to roughly $2.68 annualized, a yield near 1.2% at a share price around $228. The quarterly rate has risen steadily, from 61 cents in the first quarter of 2025 to 64 cents and then 67 cents.
What are the biggest risks to the story?
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Government payors fund about 58% of net patient revenue between Medicare and Medicaid, so rate methodology changes and the 2025 federal law's tightening of state provider-tax financing from fiscal 2028 both matter. Labor consumes roughly 59% of revenue, making wage inflation the single largest margin variable, and any reinstatement of federal minimum-staffing rules for nursing facilities would add cost. Patient-care liability claims are self-insured through a captive with about $121 million of accrued reserves, and the newly drawn floating-rate term loan adds interest-rate sensitivity that did not exist a quarter ago.
How liquid is the stock and where is it listed?
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NHC common stock trades on NYSE American under the ticker NHC, with roughly 15.7 million shares outstanding and typical daily volume near 100,000 shares. Thin volume means wider spreads and larger price moves on modest order flow than a mid-cap listed on a primary exchange would see. The shares changed hands near $228 in mid-August 2026 against a 52-week range of roughly $107 to $233, so the price has already moved a long way in twelve months.
Walnut is informational, not investment advice. Financial figures on this page are approximations; always verify current numbers with National HealthCare Corporation's investor relations page or your broker before making investment decisions.